Active NPI
Libia Stevenson
- Behavior Analyst
- Miami Gardens, FL
National Provider Identifier
1801469077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA-1-24-74001
- Practice address
- 18012 NW 41St PL
Miami Gardens, FL 33055-3412 - Phone
- (786) 532-6946
- NPI assigned
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-155353 | FL | |
| Behavior Analyst | 103K00000X | BCBA-1-24-74001 | FL | Primary |
Addresses
Primary practice location
18012 NW 41St PL
Miami Gardens, FL 33055-3412
Mailing address
18012 NW 41St PL
Miami Gardens, FL 33055-3412
Phone (786) 532-6946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-155353 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1801469077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18012 NW 41ST PL",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330553412",
"telephone_number": "786-532-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18012 NW 41ST PL",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330553412",
"telephone_number": "786-532-6946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "LIBIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-21-155353",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "BCBA-1-24-74001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.